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Licensing details for: 11348

Name: TELEGRAPH CANYON DENTAL, PRACTICE OF UYEN N. THOMPSON D.D.S. INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: TELEGRAPH CANYON DENTAL

Address of Record

688 OLD TELEGRAPH CANYON ROAD
CHULA VISTA CA 91910
SAN DIEGO county
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Practice Location

688 OLD TELEGRAPH CANYON ROAD
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

June 17, 2014

Expiration Date

May 31, 2016

Current Date / Time

December 13, 2025
4:48:20 PM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: THOMPSON, UYEN NHA

License/Registration Type: Dentist License

License Number: 57353 Primary Status: Current - Active

Address :
688 OLD TELEGRAPH CANYON RD
CHULA VISTA CA 91910
SAN DIEGO COUNTY

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